HomeMy WebLinkAbout88381C - Soundview Park Owners Assoc.``°M ,%❑CAMA ❑ DREDGE & FILL N0 88381 k B C D
GENERAL PERMIT Date Previous permit
Date previous permit issued
New []Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City
Phone # (_ )
State ZIP
Street Address/State Road/Lot #(s)
Email Subdivisio
/ i r
City �/t'�.l r ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ FITS Adj. Wtr. Body - 4 (naUman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Vi Body 1 i
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)'
Floating Platforms)--'"
Finger
Total Platform area -
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, fhannel
Cubic yards
Boatramp ..
Boathouse/ Boatlift
Beach Bulldozing
Other _--
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be reyuneu uy
Permit
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
\lam
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please lnit
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit'*
r
Permit Officer's PRINTED Name
Signature
14g Da e ` Expiration bate
Application Fee(s) Check q/Money Order
d'tour� ❑CAMA ElDREDGE & FILL
3� GENERAL PERMIT
N° 88381
Previous permit
Date previous permit issued
A B C D
E New ❑ Modification []Complete Reissue []Partial Reissue
As authorized by the State of North Carolina, ,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. El General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
City
Phone #
Email
State
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Project Location (County): _
Street Address/State Road/Lot
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Access Length - Pier (dock) length
Fixed Platform(s)
■�■
i
Nis
■■■■
■
NNE
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max i e
2oaBas
Bulldozing
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mom
NEWS
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.v oummng permit/zoning perms may oe regwrea oy:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
i ❑ See additional notes/conditions on back
`r•�r
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
x+ r• S.
(Please
5ignature Please read compliance statement on back of permit ignature --
,'J
Expiration ate Application Feels) Check q/Money Order Issuing Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: sOUr7D V1 E ot) h2d Feu l G k/ Alig;Z-s
Address of Property: got)r1 at/ /,r—W pQ e %Er r/n�9T Alu,-y I -
Mailing Address of Owner: / Q�X �� / /HO/pA�rpj¢l� L/ 9, Z 0-S-57
Owner's email:Alorl %yfIt1LOwner'sPhone#: 2S-2 a6a
Agent's Name: Je,=�p Agent Phone#: 33 6
Agent's Email: 5LNrlliyL1<365`a 60,-4
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing; the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.G. Division of Goastat
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback !�
Signature of Adjacent Ripari' an'Rroperty Owner %�
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature' RECEIVED
Revised May 2021
MAR
DCM-Mr4iU CITY
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 5''&U+7p VlE lJ {` Z AAL l !n/4jjr_/9_S i4SsLiL.
Address of Property: got)fi EXIIz--W pQP%�lt�rn�1% /-/U,*/ Z7
Mailing Address of Owner: Q6
A9 /CJr
Owners email: /7/00, /idf>�3 t�r 1f�Yra�166%(jY
, tirf Owner's Phone#: ZS� 363 9-DC—ri
Agent's Name: .l?-Fp Q�rm ve.Y.e/c Agent Phone#:
Agent's Email: 52,!/17vc_/G 36,5 C0 Cf-,or1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
1 hereby certify that 1 own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback /
vi
�1J D
Signature of Adjacent F&arian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's SignatureRECEIVED
Revised May 2021
MAR 3 0 2027
DCM-MHD CITY
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